Applying for enrollment in UPMC for Life is easy

Follow the steps below to apply for enrollment in a UPMC for Life plan.

1. Choose the UPMC for Life plan in which you would like to apply for enrollment.
   Click here to compare plan options and benefits.
   
   
2. Apply for enrollment. We offer three different ways to apply:
   • Call us toll-free at 1-866-517-2810 to apply for enrollment over the phone. Representatives are available seven days a week from 8 a.m. to 8 p.m.* TTY users should call 1-800-361-2629.
   • Apply online using our secure enrollment website.
   • Print and mail your enrollment application. Click on the enrollment application for your area to download and print.
     • Enrollment application for PA counties: Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Cameron, Clarion, Clearfield, Crawford, Elk, Erie, Fayette, Forest, Greene, Huntingdon, Indiana, Jefferson, Lawrence, McKean, Mercer, Potter, Somerset, Venango, Warren, Washington, Westmoreland, and OH counties: Harrison and Jefferson
     • Enrollment application for Adams, Berks, Lancaster, Lehigh, Philadelphia, and York counties
     After you have completed the enrollment application form, mail it to us at:
     UPMC for Life
     PO Box 2967
     Pittsburgh, PA 15230-9474
   
   
3. We will contact you once your enrollment application has been processed.

You can also enroll online via the Medicare website at Medicare.gov.